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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 01-19-2018 Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FC 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Plumbing 1-1 111 I PROPOSED IMPROVEMENT LOCATION: III Address: 10751 SOUTH OCEAN DR LOT B-15 JENSEN BEACH FL 34957 Legal Description: 11 37 41 FROM SW COR OF SEC 12-37-41 RUN N 89 DEG 55 MIN 14 SEC E ALG S SEC LI 774.41 FT TO CIL OF A1A, TH N 23 DEG 49 MIN 31 SEC W ALG SD CIL 2921.33 FT, TH S66 DEG 10 MIN 29 SEC W 290.01 FT, TH N 87... Property Tax ID #: 4511-311-0044-000-6 Site Plan Name: DIANE D SCHMIDT Project Name: SCHMIDT Setbacks Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. Drain and remove existing water heater in the outside Utility Closet. Supply and install new 30 gallon Bradford White®` Residential upright tall electric Water Heater. CONSTRUCTION INFORMATION: CONTRACTOR: Name DIANE D SCHMIDT Name: JAMES MAGER Itlona worK toe e Orme under this permit —checka appy: Address: 2606 SE WILLOUGHBY BLVD HVAC 11 Gas Tank []Gas Piping _ Shutters E]Windows/Doors Electric 21Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 930.00 Utilities: Sewer F Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DIANE D SCHMIDT Name: JAMES MAGER Address: 10751 SOUTH OCEAN DR LOT B-15 Company: PLUMBING BY BISHOP City: JENSEN BEACH State:FL Zip Code: 34957 Fax: Phone No.2032063787 Address: 2606 SE WILLOUGHBY BLVD City: STUART State: FL Zip Code: 34994 Fax: 7722861412 Phone No. 772-286-5872 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: INFO@PLUMBINGBYBISHOP.COM State or County License: CFC -1429566 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender ora ore commencing work or r ing your Notice of Commencement.� DESIGNER/ENGINEER: Name: x Not Applicable MORTGAGE COMPANY: Name: Address: _ Not Applicable Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable Address: Personally Known x OR Produced Identification Address: Type of Identification City: Zip: Phone: Produced City: Zip: Phone: (Signat re otary u, a I k CHERIANCHAN N CHA7 OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender ora ore commencing work or r ing your Notice of Commencement.� Rev. 8/2/17 Signature( of gwKer/ Lessee/Contractor as Agent for Owner Signature o ctor/License Ho STATE OF FLORIDA STATE OF FLORIDA COUNTY OF— COUNTY OF --- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 19 day of JANUARY 20_ by this 1e day Of JANUARY 20_ by LUCINE KHATCHERIAN LUCINE KHATCHERIAN Name of person making statement Name of person making statement Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signat re otary u, a I k CHERIANCHAN N CHA7 (Signature o otaryPub' t.UCINE KHATCHERIAN CHAN 'P' MY COM N # F Commission No. - IQ ,'tl�t Commission No. MY CC�Bbtli�SION #FF992837 EXPIRES May 16, 2020 W EXPIRES May 18, 2020 (60 71 315-51 5 3 f1aNaNdarySM`Ice.cam µD7 3Y5 -0t53 HorkaNad .� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17